Psychosocial aspects of chronic illness and disability

It is important for the Case Manager to assess not only the physical effects of the chronic illness or disability but also the psychosocial effects on both the patient as well as family and caregivers. Understanding the patient’s role in the family (breadwinner, caregiver) and how that role is being affected by the illness or disability will help the Case Manager to better understand the impact of the illness or disability. This will aid in designing a plan of care to education, support and counseling the patient. 

The way an individual is impacted by chronic illness and disability may be influenced by numerous factors, including:

  • age
  • gender
  • race
  • coping styles
  • past experiences
  • social support
  • family support
  • socioeconomic status
  • culture

The effects of chronic illness and disability are individual and involve:

  • social and family relationships
  • economic well-being
  • ADL’s
  • social activities
  • work activities